Provider Demographics
NPI:1346831021
Name:BANING, JULIUS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:
Last Name:BANING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N SLAPPEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1406
Mailing Address - Country:US
Mailing Address - Phone:229-430-5541
Mailing Address - Fax:
Practice Address - Street 1:300 N SLAPPEY BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1406
Practice Address - Country:US
Practice Address - Phone:229-430-5541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1346831021Medicaid
GARPH030966OtherGEORGIA BOARD OF PHARMACY